Atención a las mujeres en situación de violencia sexual: revisión integrativa de la literatura

Trentin, Daiane; Vargas, Mara Ambrosina de Oliveira; Lino, Monica Motta; Leal, Sandra Maria Cezar; Ferreira, Micheli Leal; Saioron, Isabela

Acessibilidade / Reportar erro

Brasil

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Sumário

REVIEW • Esc. Anna Nery 23 (4) • 2019 • https://doi.org/10.1590/2177-9465-EAN-2018-0324 copiar

Atención a las mujeres en situación de violencia sexual: revisión integrativa de la literatura

Autoría SCIMAGO INSTITUTIONS RANKINGS

Resumen

Objetivo:

Identificar las evidencias científicas nacionales e internacionales acerca de la atención a mujeres en situación de violencia sexual por el equipo multiprofesional en salud.

Método:

Revisión integrativa de la literatura, realizada en cuatro bases de datos y en una biblioteca digital, Criterios de inclusión: tipo de estudio, idioma y recorte temporal. Muestra final de 34 estudios.

Resultados:

De la síntesis de las evidencias, emergieron nueve categorías: red de atención, trabajo en equipo, profesional de salud en la red de atención, capacitación y formación, integralidad, protocolos, servicios, acceso a los servicios y apoyo de los gestores; organizadas en potencialidades, demandas y fragilidades, constituyendo elementos necesarios para la eficacia de la atención por el equipo multiprofesional a la mujer en situación de violencia sexual.

Conclusión e Implicaciones para la práctica:

A pesar de las potencialidades de la atención a la mujer en situación de violencia sexual, sobresalen fragilidades, como incipiente e inexistente articulación de la red de atención intersectorial, generando demanda de construcción, articulación y sostenibilidad de la red. Además, la capacitación profesional y el apoyo de los gestores en la efectividad de políticas públicas posibilitan la integralidad de la atención, actualización y evidencias en el atendimiento.

Palabras clave:
Violencia contra la mujer; Delitos sexuales; Grupo de atención al paciente; Revisión

Study	Year	Country	Title	Objective
S 14	2012	Brazil	Violência entre usuárias de unidades de saúde: prevalência, perspectiva e conduta de gestores e profissionais	To estimate the prevalence of violence in women users of Primary Health Care; if these situations were detected and how they were treated by the professionals of those services.
S 15	2016	Brazil	Instrumentos para articulação da rede de atenção às mulheres em situação de violência: construção coletiva	To identify the information necessary for the construction of instruments designed to enable the articulation of professionals of care services. with women in situations of violence with a view to establishing a care network.
S 16	2015	USA	Sexual Assault Response Teams (SARTs): Mapping a Research Agenda That Incorporates an Organizational Perspective	To conceptualize SARTs from an organizational perspective and explore three approaches to researching SARTs that have the potential to increase understanding of benefits and challenges of multidisciplinary service delivery.
S 17	2017	Brazil	As redes sociais de apoio às mulheres em situação de violência pelo parceiro íntimo	To analyze the social network and the types of support provided to women in situations of intimate partner violence.
S 18	2013	Brazil	Mulheres em situação de violência: entre rotas críticas e redes intersetoriais de atenção	To address how the issue of domestic and sexual violence against women has assumed the character of a problem of public health and human rights in recent decades. To contrast these two sides of the question: how women face the problem by seeking support and how services have acted as institutionalized social support.
S 19	2014	Brazil	Enfrentamento da violência contra a mulher: articulação intersetorial e atenção comprehensive	To identify elements that interfere with addressing violence against women.
S 20	2015	Brazil	Mulher em situação de violência: limites da assistência	To analyze the limits of the practice of care for women in situations of violence, by family health teams in the care network.
S 21	2015	Brazil	Cuidar mulheres em situação de violência: empoderamento da enfermagem em busca de equidade de gênero	To know the actions of caring for women in situations of violence by nurses in emergency and emergency services, and to analyze actions that seek the empowerment of women for gender equity.
S 22	2016	Brazil	Intencionalidade da ação de Cuidar mulheres em situação de violência: contribuições para a Enfermagem e Saúde	To understand motivations of the nurse's action when caring for women in situations of violence.
S 23	2017	Brazil	Atenção à saúde de mulheres em situação de violência: desarticulação dos profissionais em rede	To know the conceptions and actions of health professionals about care network to women in situation of violence.
S 24	2015	Multicountry	The health-systems response to violence against women	Review evidence of clinical interventions and discuss components of a comprehensive health system approach that helps health professionals identify and support women who are subjected to sexual or intimate partner violence
S 25	2017	Brazil	Mulheres rurais e situações de violência: fatores que limitam o acesso e a acessibilidade à rede de atenção à saúde	To analyze the access and accessibility to the care network to women in situation of violence residing in rural contexts, from the speeches of professionals.
S 26	2013	Brazil	Análise das práticas profissionais na atenção em saúde às mulheres em situação de violência sexual	To analyze the professionals speeches who assist women in situations of sexual violence; understand the relation of professional practices to the emancipation of gender oppression.
S 27	2014	Brazil	Violência sexual contra mulheres no Brasil: conquistas e desafios do setor saúde na década de 2000	To analyze and reflect on the main policies and public actions produced or instituted in the Brazilian health sector throughout the decade of 2000 and that contributed to the confrontation of sexual violence against women in Brazil, considering the advances and difficulties encountered.
S 28	2015	Brazil	Rede de atenção à mulher em situação de violência: os desafios da transversalidade do cuidado	To understand from the point of view of professionals who work in services that make up the network, how the care of women in situations of violence is configured.
S 29	2013	Multicountry	Clinical care for sexual assault survivors multimedia training: a mixed-methods study of effect on healthcare providers' attitudes, knowledge, confidence, and practice in humanitarian settings	To describe the effect of CCSAS multimedia training on attitudes, knowledge, confidence and practices of health professionals providing clinical care to survivors of sexual abuse in refugee camps in Ethiopia and Kenya, a post-conflict scenario in the Democratic Republic of Congo (DRC) and an urban refugee environment in Jordan.
S 30	2014	South Africa	A cross-sectional study on the effect of post-rape training on knowledge And confidence of health professionals in South Africa	To determine whether a Brazilian post-rape care training program in South Africa has resulted in improvements in knowledge and trust in health professionals, and in distinguishing the basic factors related to these changes in knowledge and trust.
S 31	2012	USA	Care of the Sexually Assaulted Woman	To describe the short- and long-term consequences of female sexual violence and, using case studies, provide a guide for nursing professionals on comprehensive care and trainers, from appropriate screening after sexual assault to sexually transmitted infections and pregnancy prophylaxis, and follow-up and referral to the sexually assaulted woman.
S 32	2014	USA	Original research: Giving sexual assault survivors time to decide: an exploration of the use and effects of the nonreport option	To consider the non-reporting implementation of option in Texas; to explore its impact on SANEs, survivors and the criminal justice system; and to identify strengths and challenges of the non-reporting process.
S 33	2015	Brazil	Violência sexual contra mulheres: a prática de enfermeiros	To investigate the practice of nurses about sexual violence against women.
S 34	2012	Multicontry	An assessment of health sector guidelines and services for treatment of sexual violence in El Salvador, Guatemala, Honduras and Nicaragua	To describe health sector guidelines for the care of victims of sexual violence in the country and document health services (hospitals and health centers) UNFPA and Ipas.
S 35	2013	Canada	Identificación de las fortalezas, preocupaciones y necesidades educativas del Servicio Rural de Agresión Sexual en las comunidades rurales y aborígenes de Alberta (Canada)	To identify a way to address the risks of second victimization within rural practice, building on existing strengths, and understand the educational resources needed for the assistance crisis in workers in rural and indigenous communities.
S 36	2017	Brazil	Aspectos éticos e legais no cuidado de enfermagem às vítimas de violência doméstica	To analyze the nursing nurses' knowledge about the ethical and legal aspects of nursing care for victims of domestic violence.
S 37	2016	Brazil	Conceitos, causas e repercussões da violência sexual contra a mulher na ótica de profissionais de saúde	To analyze the meanings attributed by health professionals to the concepts, causes and repercussions of sexual violence against women.
S 38	2016	Brazil	Protocolos na atenção à saúde de mulheres em situação de violência sexual sob a ótica de profissionais de saúde	To analyze the use of protocols in the health care of women in situations of sexual violence from the perspective of professionals in two Brazilian capitals
S 39	2014	USA	'We desperately need some help here' - The experience of legal experts with sexual assault and evidence collection in rural communities	To consider the experiences of legal providers of rural communities serving victims of sexual assault.
S 40	2012	Brazil	Perfil do atendimento à violência sexual no Brasil	To assess the situation of public health services for women victims of sexual violence in Brazil, in order to determine the prevalence of municipal programs or services for routine and/or emergency care for women and children who suffer sexual violence in Brazilian municipalities, in addition to describe their characteristics and adequacy to the technical standard of the Ministry of Health (1999).
S 41	2016	Iran	Barriers to Healthcare Provision for Victims of Sexual Assault: A Grounded Theory Study	To explore health care and clinical services for victims of sexual assault in Iran's health centers.
S 42	2015	England	"Silly Girls" and "Nice Young Lads": Vilification and Vindication in the Perceptions of Medico-Legal Practitioners in Rape Cases	To explore insights and assumptions regarding rape, raped women and rapists, among legal medical professionals who perform forensic medical examinations in case of rape.
S 43	2017	Netherlands	Challenges in interprofessional collaboration: experiences of care providers and policymakers in a newly set-up Dutch assault centre	To improve our understanding of challenges in interprofessional collaboration at a newly created center for sexual and family violence.
S 44	2012	USA	Prosecution of Adult Sexual Assault Cases: A Longitudinal Analysis of the Impact of a Sexual Assault Nurse Examiner Program	To consider whether adult sexual abuse cases were more likely to be investigated and prosecuted after implementing a SANE program in a large Center-West municipality.
S 45	2014	USA	The Impact of Sexual Assault Nurse Examiner Programs on Criminal Justice Case Outcomes: A Multisite Replication Study	To assess multisite of six SANE programs (two rural programs, two serving middle, two urban communities) to assess how implementation of SANE programs affects adult assault charges.
S 46	2015	Brazil	Vivência de (des)acolhimento por mulheres vítimas de estupro que buscam os serviços de saúde	To know the structure and the functioning of health services from the speech of women who survived rape.
S 47	2014	EUA	Sexual Assault Services Coverage on Native American Land	To show facility coverage with SAE or SART programs on indigenous lands and demonstrate the extent to which the IHS and the tribal hospital supply of sexual assault exams have improved access to Native American victims of sexual assault to appropriate services.

	Potentialities	Demands	Weaknesses
Service Network	• Constitution of the articulated network¹⁴14 Osis MJD, Duarte GA, Faúndes A. Violence among female users of healthcare units: prevalence, perspective and conduct of managers and professionals. Rev Saúde Pública [Internet]. 2012 Feb; [cited 2017 Sep 27]; 46(2):351-8. Available from: http://dx.doi.org/10.1590/S0034-89102012005000019 http://dx.doi.org/10.1590/S0034-89102012...	• Articulation of distinct welfare sectors and resources¹⁴14 Osis MJD, Duarte GA, Faúndes A. Violence among female users of healthcare units: prevalence, perspective and conduct of managers and professionals. Rev Saúde Pública [Internet]. 2012 Feb; [cited 2017 Sep 27]; 46(2):351-8. Available from: http://dx.doi.org/10.1590/S0034-89102012005000019 http://dx.doi.org/10.1590/S0034-89102012... ,¹⁵15 Cortes LF, Padoin SMM, Kinalski DDF. Instruments for articulating the network of attention to women in situation of violence: collective construction. Rev Gaúcha Enferm [Internet]. 2016 Jun; [cited 2017 Sep 27]; 37(no.esp):e2016-0056. Available from: http://dx.doi.org/10.1590/1983-1447.2016.esp.2016-0056 http://dx.doi.org/10.1590/1983-1447.2016... ,¹⁷17 Netto LA, Moura MAV, Araújo CLF, Souza MHN, Silva GF. Social support networks for women in situations of violence by an intimate partner. Texto Contexto Enferm [Internet]. 2017 Jul; [cited 2017 Sep 27]; 26(2):e07120015. Available from: http://dx.doi.org/10.1590/0104-07072017007120015 http://dx.doi.org/10.1590/0104-070720170... 18 D'oliveira AFPL, Schraiber LB. Violence against women: between critical path and assistance multisectoral networks. Rev Med (São Paulo) [Internet]. 2013 Apr/Jun; [cited 2017 Sep 27]; 92(2):134-40. Available from: http://www.revistas.usp.br/revistadc/article/view/79953 http://www.revistas.usp.br/revistadc/art... 19 Menezes PRM, Lima IS, Correia CM, Souza SS, Erdmann AL, Gomes NP. Process of dealing with violence against women: intersectoral coordination and full attention. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):778-86. Available from: http://dx.doi.org/10.1590/S0104-12902014000300004 http://dx.doi.org/10.1590/S0104-12902014... 20 Silva EB, Padoin SMM, Vianna LAC. Women in situations of violence: limits of assistance. Ciênc Saúde Coletiva [Internet]. 2015; [cited 2017 Sep 27]; 20(1):249-58. Available from: http://www.scielo.br/pdf/csc/v20n1/pt_1413-8123-csc-20-01-00249.pdf http://www.scielo.br/pdf/csc/v20n1/pt_14... 21 Cortes LF, Padoin SMM, Vieira LB, Landerdahl MC, Arboit J. Care for women victims of violence: empowering nurses in the pursuit of gender equity. Rev Gaúcha Enferm [Internet]. 2015; [cited 2017 Sep 27]; 36(no.esp):77-84. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472015000500077&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198... 22 Cortes LF, Padoin SMM. Intentionality of the action of caring for women in situations of violence: contributions to Nursing and Health. Esc Anna Nery [Internet]. 2016 Aug; [cited 2017 Sep 27]; 20(4):e20160083. Available from: http://www.scielo.br/scielo.php?pid=S1414-81452016000400202&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S141... 23 Arboit J, Padoin SMM, Vieira LB, Paula CC, Costa MC, Cortes LF. Health care for women in situations of violence: discoordination of network professionals. Rev Esc Enferm USP [Internet]. 2017; [cited 2017 Sep 27]; 51:e03207. Available from: http://www.scielo.br/pdf/reeusp/v51/1980-220X-reeusp-51-e03207.pdf http://www.scielo.br/pdf/reeusp/v51/1980... 24 García-Moreno C, Hegarty K, d'Oliveira AF, Koziol-McLain J, Colombini M, Feder G. The health-systems response to violence against women. Lancet [Internet]. 2015 Apr; [cited 2017 Sep 27]; 385(9977):1567-79. Available from: http://dx.doi.org/10.1016/S0140-6736(14)61837-7 http://dx.doi.org/10.1016/S0140-6736(14)... -²⁵25 Costa MC, Silva EB, Soares JSF, Borth LC, Honnef F. Rural women and violence situation: access and accessibility limits to the healthcare network. Rev Gaúcha Enferm [Internet]. 2017 Jul; [cited 2017 Sep 27]; 38(2):e59553. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472017000200416&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198...	• Care discontinuity and fragmentation¹⁵15 Cortes LF, Padoin SMM, Kinalski DDF. Instruments for articulating the network of attention to women in situation of violence: collective construction. Rev Gaúcha Enferm [Internet]. 2016 Jun; [cited 2017 Sep 27]; 37(no.esp):e2016-0056. Available from: http://dx.doi.org/10.1590/1983-1447.2016.esp.2016-0056 http://dx.doi.org/10.1590/1983-1447.2016... ,²²22 Cortes LF, Padoin SMM. Intentionality of the action of caring for women in situations of violence: contributions to Nursing and Health. Esc Anna Nery [Internet]. 2016 Aug; [cited 2017 Sep 27]; 20(4):e20160083. Available from: http://www.scielo.br/scielo.php?pid=S1414-81452016000400202&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S141... ,²⁶26 Lima HS, Silva ATMC, Souza JA, Almeida LR, Lucena RP, Lucena KDT. Análise das práticas profissionais na atenção em saúde às mulheres em situação de violência sexual. Rev Enferm UFPE On Line [Internet]. 2013; [cited 2017 Sep 27]; 7(12):6964-72. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/12365 https://periodicos.ufpe.br/revistas/revi...
	• Feasibility of communication¹⁵15 Cortes LF, Padoin SMM, Kinalski DDF. Instruments for articulating the network of attention to women in situation of violence: collective construction. Rev Gaúcha Enferm [Internet]. 2016 Jun; [cited 2017 Sep 27]; 37(no.esp):e2016-0056. Available from: http://dx.doi.org/10.1590/1983-1447.2016.esp.2016-0056 http://dx.doi.org/10.1590/1983-1447.2016...		• Articulation among services¹⁴14 Osis MJD, Duarte GA, Faúndes A. Violence among female users of healthcare units: prevalence, perspective and conduct of managers and professionals. Rev Saúde Pública [Internet]. 2012 Feb; [cited 2017 Sep 27]; 46(2):351-8. Available from: http://dx.doi.org/10.1590/S0034-89102012005000019 http://dx.doi.org/10.1590/S0034-89102012... ,¹⁹19 Menezes PRM, Lima IS, Correia CM, Souza SS, Erdmann AL, Gomes NP. Process of dealing with violence against women: intersectoral coordination and full attention. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):778-86. Available from: http://dx.doi.org/10.1590/S0104-12902014000300004 http://dx.doi.org/10.1590/S0104-12902014... 20 Silva EB, Padoin SMM, Vianna LAC. Women in situations of violence: limits of assistance. Ciênc Saúde Coletiva [Internet]. 2015; [cited 2017 Sep 27]; 20(1):249-58. Available from: http://www.scielo.br/pdf/csc/v20n1/pt_1413-8123-csc-20-01-00249.pdf http://www.scielo.br/pdf/csc/v20n1/pt_14... -²¹21 Cortes LF, Padoin SMM, Vieira LB, Landerdahl MC, Arboit J. Care for women victims of violence: empowering nurses in the pursuit of gender equity. Rev Gaúcha Enferm [Internet]. 2015; [cited 2017 Sep 27]; 36(no.esp):77-84. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472015000500077&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198... ,²³23 Arboit J, Padoin SMM, Vieira LB, Paula CC, Costa MC, Cortes LF. Health care for women in situations of violence: discoordination of network professionals. Rev Esc Enferm USP [Internet]. 2017; [cited 2017 Sep 27]; 51:e03207. Available from: http://www.scielo.br/pdf/reeusp/v51/1980-220X-reeusp-51-e03207.pdf http://www.scielo.br/pdf/reeusp/v51/1980... ,²⁴24 García-Moreno C, Hegarty K, d'Oliveira AF, Koziol-McLain J, Colombini M, Feder G. The health-systems response to violence against women. Lancet [Internet]. 2015 Apr; [cited 2017 Sep 27]; 385(9977):1567-79. Available from: http://dx.doi.org/10.1016/S0140-6736(14)61837-7 http://dx.doi.org/10.1016/S0140-6736(14)... ,²⁶26 Lima HS, Silva ATMC, Souza JA, Almeida LR, Lucena RP, Lucena KDT. Análise das práticas profissionais na atenção em saúde às mulheres em situação de violência sexual. Rev Enferm UFPE On Line [Internet]. 2013; [cited 2017 Sep 27]; 7(12):6964-72. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/12365 https://periodicos.ufpe.br/revistas/revi... 27 Lima CA, Deslandes SF. Sexual violence against women in Brazil: achievements and challenges of the health sector in the 2000s. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):787-800. Available from: http://dx.doi.org/10.1590/S0104-12902014000300005 http://dx.doi.org/10.1590/S0104-12902014... -²⁸28 Lettiere A, Nakano AMS. Rede de atenção à mulher em situação de violência: os desafios da transversalidade do cuidado. Rev Eletr Enferm [Internet]. 2015 Oct/Dec; [cited 2017 Sep 27]; 17(4):1-8. Available from: http://dx.doi.org/10.5216/ree.v17i4.32977 http://dx.doi.org/10.5216/ree.v17i4.3297...
	• SARTs¹⁶16 Moylan CA, Lindhorst T, Tajima EA. Sexual Assault Response Teams (SARTs): Mapping a Research Agenda That Incorporates an Organizational Perspective. Violence Against Women [Internet]. 2015 Apr; [cited 2017 Sep 27]; 21(4):516-34. Available from: http://dx.doi.org/10.1177/1077801215569607 http://dx.doi.org/10.1177/10778012155696...
	• Establishment of links and rescue of women from vulnerability¹⁷17 Netto LA, Moura MAV, Araújo CLF, Souza MHN, Silva GF. Social support networks for women in situations of violence by an intimate partner. Texto Contexto Enferm [Internet]. 2017 Jul; [cited 2017 Sep 27]; 26(2):e07120015. Available from: http://dx.doi.org/10.1590/0104-07072017007120015 http://dx.doi.org/10.1590/0104-070720170...		• Revictimization²³23 Arboit J, Padoin SMM, Vieira LB, Paula CC, Costa MC, Cortes LF. Health care for women in situations of violence: discoordination of network professionals. Rev Esc Enferm USP [Internet]. 2017; [cited 2017 Sep 27]; 51:e03207. Available from: http://www.scielo.br/pdf/reeusp/v51/1980-220X-reeusp-51-e03207.pdf http://www.scielo.br/pdf/reeusp/v51/1980...
Qualification and training	• Public policies for professional training²⁷27 Lima CA, Deslandes SF. Sexual violence against women in Brazil: achievements and challenges of the health sector in the 2000s. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):787-800. Available from: http://dx.doi.org/10.1590/S0104-12902014000300005 http://dx.doi.org/10.1590/S0104-12902014...	• Strategies that enable interaction of knowledge and actions in comprehensive care¹⁹19 Menezes PRM, Lima IS, Correia CM, Souza SS, Erdmann AL, Gomes NP. Process of dealing with violence against women: intersectoral coordination and full attention. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):778-86. Available from: http://dx.doi.org/10.1590/S0104-12902014000300004 http://dx.doi.org/10.1590/S0104-12902014... ,²⁸28 Lettiere A, Nakano AMS. Rede de atenção à mulher em situação de violência: os desafios da transversalidade do cuidado. Rev Eletr Enferm [Internet]. 2015 Oct/Dec; [cited 2017 Sep 27]; 17(4):1-8. Available from: http://dx.doi.org/10.5216/ree.v17i4.32977 http://dx.doi.org/10.5216/ree.v17i4.3297...	• Emerging qualification processes and Permanent Education¹⁴14 Osis MJD, Duarte GA, Faúndes A. Violence among female users of healthcare units: prevalence, perspective and conduct of managers and professionals. Rev Saúde Pública [Internet]. 2012 Feb; [cited 2017 Sep 27]; 46(2):351-8. Available from: http://dx.doi.org/10.1590/S0034-89102012005000019 http://dx.doi.org/10.1590/S0034-89102012... ,²⁰20 Silva EB, Padoin SMM, Vianna LAC. Women in situations of violence: limits of assistance. Ciênc Saúde Coletiva [Internet]. 2015; [cited 2017 Sep 27]; 20(1):249-58. Available from: http://www.scielo.br/pdf/csc/v20n1/pt_1413-8123-csc-20-01-00249.pdf http://www.scielo.br/pdf/csc/v20n1/pt_14... ,²⁶26 Lima HS, Silva ATMC, Souza JA, Almeida LR, Lucena RP, Lucena KDT. Análise das práticas profissionais na atenção em saúde às mulheres em situação de violência sexual. Rev Enferm UFPE On Line [Internet]. 2013; [cited 2017 Sep 27]; 7(12):6964-72. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/12365 https://periodicos.ufpe.br/revistas/revi... ,³⁷37 Bezerra JF, Silva RM, Cavalcanti LF, Nascimento JL, Vieira LJES, Moreira GAR. Conceitos, causas e repercussões da violência sexual contra a mulher na ótica de profissionais de saúde. Rev Bras Promoç Saúde [Internet]. 2016 Jan/Mar; [cited 2017 Sep 27]; 29(1):51-9. Available from: http://periodicos.unifor.br/RBPS/article/view/4186/pdf http://periodicos.unifor.br/RBPS/article... ,³⁸38 Vieira LJES, Silva ACF, Moreira GAR, Cavalcanti LF, Silva RM. Protocolos na atenção à saúde de mulheres em situação de violência sexual sob a ótica de profissionais de saúde. Ciênc Saúde Coletiva [Internet]. 2016 Dec; [cited 2017 Sep 27]; 21(12):3957-65. Available from: http://dx.doi.org/10.1590/1413-812320152112.15362015 http://dx.doi.org/10.1590/1413-812320152...
	• Contribution to health and nursing care²⁸28 Lettiere A, Nakano AMS. Rede de atenção à mulher em situação de violência: os desafios da transversalidade do cuidado. Rev Eletr Enferm [Internet]. 2015 Oct/Dec; [cited 2017 Sep 27]; 17(4):1-8. Available from: http://dx.doi.org/10.5216/ree.v17i4.32977 http://dx.doi.org/10.5216/ree.v17i4.3297...	• Reorientation of vocational training and promotion of transformative work²⁶26 Lima HS, Silva ATMC, Souza JA, Almeida LR, Lucena RP, Lucena KDT. Análise das práticas profissionais na atenção em saúde às mulheres em situação de violência sexual. Rev Enferm UFPE On Line [Internet]. 2013; [cited 2017 Sep 27]; 7(12):6964-72. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/12365 https://periodicos.ufpe.br/revistas/revi... ,³⁰30 Jina R, Jewkes R, Christofides N, Loots L. A cross-sectional study on the effect of post-rape training on knowledge and confidence of health professionals in South Africa. Int J Gynaecol Obstet [Internet]. 2014 Aug; [cited 2017 Sep 27]; 126(2):187-92. Available from: http://dx.doi.org/10.1016/j.ijgo.2014.02.011 http://dx.doi.org/10.1016/j.ijgo.2014.02...	• Compulsory notification and lack of knowledge of legal obligation³³33 Baptista RS, Chaves OBBM, França ISX, Sousa FS, Oliveira MG, Leite CCS. Sexual violence against women: nurses' practice. Rev Rene [Internet]. 2015 Mar/Apr; [cited 2017 Sep 27]; 16(2):210-7. Available from: http://repositorio.ufc.br/bitstream/riufc/12654/1/2015_art_rsbaptista.pdf http://repositorio.ufc.br/bitstream/riuf... ,³⁶36 Acosta DF, Gomes VLO, Oliveira DC, Gomes GC, Fonseca AD. Ethical and legal aspects in nursing care for victims of domestic violence. Texto Contexto Enferm [Internet]. 2017Aug; [cited 2017 Sep 27]; 26(3):e6770015. Available from: http://dx.doi.org/10.1590/0104-07072017006770015 http://dx.doi.org/10.1590/0104-070720170...
	• Improvements in respect for patient's rights, knowledge, confidence and clinical practice²⁹29 Smith JR, Ho LS, Langston A, Mankani N, Shivshanker A, Perera D. Clinical care for sexual assault survivors multimedia training: a mixed-methods study of effect on healthcare providers' attitudes, knowledge, confidence, and practice in humanitarian settings. Confl Health [Internet]. 2013 Jul; [cited 2017 Sep 27]; 7:14. Available from: http://dx.doi.org/10.1186/1752-1505-7-14 http://dx.doi.org/10.1186/1752-1505-7-14... ,³⁰30 Jina R, Jewkes R, Christofides N, Loots L. A cross-sectional study on the effect of post-rape training on knowledge and confidence of health professionals in South Africa. Int J Gynaecol Obstet [Internet]. 2014 Aug; [cited 2017 Sep 27]; 126(2):187-92. Available from: http://dx.doi.org/10.1016/j.ijgo.2014.02.011 http://dx.doi.org/10.1016/j.ijgo.2014.02...	• Qualification for qualified responses in the care and identification of sexual violence²⁴24 García-Moreno C, Hegarty K, d'Oliveira AF, Koziol-McLain J, Colombini M, Feder G. The health-systems response to violence against women. Lancet [Internet]. 2015 Apr; [cited 2017 Sep 27]; 385(9977):1567-79. Available from: http://dx.doi.org/10.1016/S0140-6736(14)61837-7 http://dx.doi.org/10.1016/S0140-6736(14)... ,²⁵25 Costa MC, Silva EB, Soares JSF, Borth LC, Honnef F. Rural women and violence situation: access and accessibility limits to the healthcare network. Rev Gaúcha Enferm [Internet]. 2017 Jul; [cited 2017 Sep 27]; 38(2):e59553. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472017000200416&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198... ,>²⁹29 Smith JR, Ho LS, Langston A, Mankani N, Shivshanker A, Perera D. Clinical care for sexual assault survivors multimedia training: a mixed-methods study of effect on healthcare providers' attitudes, knowledge, confidence, and practice in humanitarian settings. Confl Health [Internet]. 2013 Jul; [cited 2017 Sep 27]; 7:14. Available from: http://dx.doi.org/10.1186/1752-1505-7-14 http://dx.doi.org/10.1186/1752-1505-7-14... 30 Jina R, Jewkes R, Christofides N, Loots L. A cross-sectional study on the effect of post-rape training on knowledge and confidence of health professionals in South Africa. Int J Gynaecol Obstet [Internet]. 2014 Aug; [cited 2017 Sep 27]; 126(2):187-92. Available from: http://dx.doi.org/10.1016/j.ijgo.2014.02.011 http://dx.doi.org/10.1016/j.ijgo.2014.02... 31 Wadsworth P, Van Order P. Care of the Sexually Assaulted Woman. J Nurse Pract [Internet]. 2012 Jun; [cited 2017 Sep 27]; (8):6433-40. Available from: https://doi.org/10.1016/j.nurpra.2011.10.007 https://doi.org/10.1016/j.nurpra.2011.10... 32 Heffron LC, Busch-Armendariz NB, Vohra SS, Johnson RJ, Camp V. Original research: Giving sexual assault survivors time to decide: an exploration of the use and effects of the nonreport option. Am J Nurs [Internet]. 2014 Mar; [cited 2017 Sep 27]; 114(3):26-35. Available from: https://doi.org/10.1097/01.NAJ.0000444489.49091.10 https://doi.org/10.1097/01.NAJ.000044448... 33 Baptista RS, Chaves OBBM, França ISX, Sousa FS, Oliveira MG, Leite CCS. Sexual violence against women: nurses' practice. Rev Rene [Internet]. 2015 Mar/Apr; [cited 2017 Sep 27]; 16(2):210-7. Available from: http://repositorio.ufc.br/bitstream/riufc/12654/1/2015_art_rsbaptista.pdf http://repositorio.ufc.br/bitstream/riuf... 34 Reyes HLM, Billings DL, Paredes-Gaitan Y, Zuniga KP. An assessment of health sector guidelines and services for treatment of sexual violence in El Salvador, Guatemala, Honduras and Nicaragua. Reprod Health Matters [Internet]. 2012 Dec; [cited 2017 Sep 27]; 20(40):83-93. Available from: http://dx.doi.org/10.1016/S0968-8080(12)40656-5 http://dx.doi.org/10.1016/S0968-8080(12)... -³⁵35 Jakubec SL, Carter-Snell CJ, Ofrim J, Skanderup J. Identificación de las fortalezas, preocupaciones y necesidades educativas del Servicio Rural de Agresión sexual en las comunidades rurales y aborígenes de Alberta (Canadá). Enferm Glob [Internet]. 2013 Jul; [cited 2017 Sep 27]; 12(3):409-42. Available from: http://dx.doi.org/10.6018/eglobal.12.3.174751 http://dx.doi.org/10.6018/eglobal.12.3.1...	• Lack of training and capacity building for comprehensive care³³33 Baptista RS, Chaves OBBM, França ISX, Sousa FS, Oliveira MG, Leite CCS. Sexual violence against women: nurses' practice. Rev Rene [Internet]. 2015 Mar/Apr; [cited 2017 Sep 27]; 16(2):210-7. Available from: http://repositorio.ufc.br/bitstream/riufc/12654/1/2015_art_rsbaptista.pdf http://repositorio.ufc.br/bitstream/riuf...
		• Consideration of graduation training³⁰30 Jina R, Jewkes R, Christofides N, Loots L. A cross-sectional study on the effect of post-rape training on knowledge and confidence of health professionals in South Africa. Int J Gynaecol Obstet [Internet]. 2014 Aug; [cited 2017 Sep 27]; 126(2):187-92. Available from: http://dx.doi.org/10.1016/j.ijgo.2014.02.011 http://dx.doi.org/10.1016/j.ijgo.2014.02...	• Professional training not always free of judgments and prejudice³⁷37 Bezerra JF, Silva RM, Cavalcanti LF, Nascimento JL, Vieira LJES, Moreira GAR. Conceitos, causas e repercussões da violência sexual contra a mulher na ótica de profissionais de saúde. Rev Bras Promoç Saúde [Internet]. 2016 Jan/Mar; [cited 2017 Sep 27]; 29(1):51-9. Available from: http://periodicos.unifor.br/RBPS/article/view/4186/pdf http://periodicos.unifor.br/RBPS/article...
		• Extension of knowledge on compulsory notification³³33 Baptista RS, Chaves OBBM, França ISX, Sousa FS, Oliveira MG, Leite CCS. Sexual violence against women: nurses' practice. Rev Rene [Internet]. 2015 Mar/Apr; [cited 2017 Sep 27]; 16(2):210-7. Available from: http://repositorio.ufc.br/bitstream/riufc/12654/1/2015_art_rsbaptista.pdf http://repositorio.ufc.br/bitstream/riuf... ,³⁶36 Acosta DF, Gomes VLO, Oliveira DC, Gomes GC, Fonseca AD. Ethical and legal aspects in nursing care for victims of domestic violence. Texto Contexto Enferm [Internet]. 2017Aug; [cited 2017 Sep 27]; 26(3):e6770015. Available from: http://dx.doi.org/10.1590/0104-07072017006770015 http://dx.doi.org/10.1590/0104-070720170...	• Gaps in nurses' knowledge about ethical and legal aspects³⁶36 Acosta DF, Gomes VLO, Oliveira DC, Gomes GC, Fonseca AD. Ethical and legal aspects in nursing care for victims of domestic violence. Texto Contexto Enferm [Internet]. 2017Aug; [cited 2017 Sep 27]; 26(3):e6770015. Available from: http://dx.doi.org/10.1590/0104-07072017006770015 http://dx.doi.org/10.1590/0104-070720170...
		• Permanent Education for professional qualification³⁶36 Acosta DF, Gomes VLO, Oliveira DC, Gomes GC, Fonseca AD. Ethical and legal aspects in nursing care for victims of domestic violence. Texto Contexto Enferm [Internet]. 2017Aug; [cited 2017 Sep 27]; 26(3):e6770015. Available from: http://dx.doi.org/10.1590/0104-07072017006770015 http://dx.doi.org/10.1590/0104-070720170...	• Graduation approach³⁸38 Vieira LJES, Silva ACF, Moreira GAR, Cavalcanti LF, Silva RM. Protocolos na atenção à saúde de mulheres em situação de violência sexual sob a ótica de profissionais de saúde. Ciênc Saúde Coletiva [Internet]. 2016 Dec; [cited 2017 Sep 27]; 21(12):3957-65. Available from: http://dx.doi.org/10.1590/1413-812320152112.15362015 http://dx.doi.org/10.1590/1413-812320152...
		• Training programs for SANEs in rural communities³⁹39 Annan SL. 'We desperately need some help here'--The experience of legal experts with sexual assault and evidence collection in rural communities. Rural Remote Health [Internet]. 2014; [cited 2017 Sep 27]; 14(4):2659. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25347043 https://www.ncbi.nlm.nih.gov/pubmed/2534...	• Limitations on SANE experiences in rural communities³⁹39 Annan SL. 'We desperately need some help here'--The experience of legal experts with sexual assault and evidence collection in rural communities. Rural Remote Health [Internet]. 2014; [cited 2017 Sep 27]; 14(4):2659. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25347043 https://www.ncbi.nlm.nih.gov/pubmed/2534...
Healthcare professional in the care network	• Health professionals assist women for health care and for being articulators for other support services²⁵25 Costa MC, Silva EB, Soares JSF, Borth LC, Honnef F. Rural women and violence situation: access and accessibility limits to the healthcare network. Rev Gaúcha Enferm [Internet]. 2017 Jul; [cited 2017 Sep 27]; 38(2):e59553. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472017000200416&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198... ,³¹31 Wadsworth P, Van Order P. Care of the Sexually Assaulted Woman. J Nurse Pract [Internet]. 2012 Jun; [cited 2017 Sep 27]; (8):6433-40. Available from: https://doi.org/10.1016/j.nurpra.2011.10.007 https://doi.org/10.1016/j.nurpra.2011.10...	• Nurses: valuing communication and social role in the health team²¹21 Cortes LF, Padoin SMM, Vieira LB, Landerdahl MC, Arboit J. Care for women victims of violence: empowering nurses in the pursuit of gender equity. Rev Gaúcha Enferm [Internet]. 2015; [cited 2017 Sep 27]; 36(no.esp):77-84. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472015000500077&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198...	• Difficulties in working with cases of sexual assault in rural communities³⁹39 Annan SL. 'We desperately need some help here'--The experience of legal experts with sexual assault and evidence collection in rural communities. Rural Remote Health [Internet]. 2014; [cited 2017 Sep 27]; 14(4):2659. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25347043 https://www.ncbi.nlm.nih.gov/pubmed/2534...
	• SANEs and other nurses: collaborative relationships and important position in the awareness of other health professionals³²32 Heffron LC, Busch-Armendariz NB, Vohra SS, Johnson RJ, Camp V. Original research: Giving sexual assault survivors time to decide: an exploration of the use and effects of the nonreport option. Am J Nurs [Internet]. 2014 Mar; [cited 2017 Sep 27]; 114(3):26-35. Available from: https://doi.org/10.1097/01.NAJ.0000444489.49091.10 https://doi.org/10.1097/01.NAJ.000044448...	• Nurses: organizing work processes and embracing the unique demands of women's care²²22 Cortes LF, Padoin SMM. Intentionality of the action of caring for women in situations of violence: contributions to Nursing and Health. Esc Anna Nery [Internet]. 2016 Aug; [cited 2017 Sep 27]; 20(4):e20160083. Available from: http://www.scielo.br/scielo.php?pid=S1414-81452016000400202&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S141...	• Insufficiency and inexperience of SANEs in rural areas³⁹39 Annan SL. 'We desperately need some help here'--The experience of legal experts with sexual assault and evidence collection in rural communities. Rural Remote Health [Internet]. 2014; [cited 2017 Sep 27]; 14(4):2659. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25347043 https://www.ncbi.nlm.nih.gov/pubmed/2534...
	• Importance of the role of SANEs for rural communities³⁹39 Annan SL. 'We desperately need some help here'--The experience of legal experts with sexual assault and evidence collection in rural communities. Rural Remote Health [Internet]. 2014; [cited 2017 Sep 27]; 14(4):2659. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25347043 https://www.ncbi.nlm.nih.gov/pubmed/2534...	• SANEs training in rural areas³⁹39 Annan SL. 'We desperately need some help here'--The experience of legal experts with sexual assault and evidence collection in rural communities. Rural Remote Health [Internet]. 2014; [cited 2017 Sep 27]; 14(4):2659. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25347043 https://www.ncbi.nlm.nih.gov/pubmed/2534...
Protocols	• Professional empowerment¹⁵15 Cortes LF, Padoin SMM, Kinalski DDF. Instruments for articulating the network of attention to women in situation of violence: collective construction. Rev Gaúcha Enferm [Internet]. 2016 Jun; [cited 2017 Sep 27]; 37(no.esp):e2016-0056. Available from: http://dx.doi.org/10.1590/1983-1447.2016.esp.2016-0056 http://dx.doi.org/10.1590/1983-1447.2016...	• Development of skills in clinical practice, dissemination of evidence about women's rights and autonomy; implementation of policies for comprehensiveness²¹21 Cortes LF, Padoin SMM, Vieira LB, Landerdahl MC, Arboit J. Care for women victims of violence: empowering nurses in the pursuit of gender equity. Rev Gaúcha Enferm [Internet]. 2015; [cited 2017 Sep 27]; 36(no.esp):77-84. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472015000500077&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198...	• Lack of protocols for service²⁰20 Silva EB, Padoin SMM, Vianna LAC. Women in situations of violence: limits of assistance. Ciênc Saúde Coletiva [Internet]. 2015; [cited 2017 Sep 27]; 20(1):249-58. Available from: http://www.scielo.br/pdf/csc/v20n1/pt_1413-8123-csc-20-01-00249.pdf http://www.scielo.br/pdf/csc/v20n1/pt_14... ,³³33 Baptista RS, Chaves OBBM, França ISX, Sousa FS, Oliveira MG, Leite CCS. Sexual violence against women: nurses' practice. Rev Rene [Internet]. 2015 Mar/Apr; [cited 2017 Sep 27]; 16(2):210-7. Available from: http://repositorio.ufc.br/bitstream/riufc/12654/1/2015_art_rsbaptista.pdf http://repositorio.ufc.br/bitstream/riuf... ,⁴⁰40 Andalaft Neto J, Faúndes A, Osis MJD, Pádua KS. Perfil do atendimento à violência sexual no Brasil. FEMINA [Internet]. 2012; [cited 2017 Sep 27]; 40(6):301-6. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/premio2013/trabalho_publicado/Maria%20Jose%20Martins%20Duarte%20Osis.pdf http://bvsms.saude.gov.br/bvs/publicacoe...
	• Standardized information that can identify actual or potential problems of violence¹⁷17 Netto LA, Moura MAV, Araújo CLF, Souza MHN, Silva GF. Social support networks for women in situations of violence by an intimate partner. Texto Contexto Enferm [Internet]. 2017 Jul; [cited 2017 Sep 27]; 26(2):e07120015. Available from: http://dx.doi.org/10.1590/0104-07072017007120015 http://dx.doi.org/10.1590/0104-070720170...	• Ensuring the right conditions to approach²⁴24 García-Moreno C, Hegarty K, d'Oliveira AF, Koziol-McLain J, Colombini M, Feder G. The health-systems response to violence against women. Lancet [Internet]. 2015 Apr; [cited 2017 Sep 27]; 385(9977):1567-79. Available from: http://dx.doi.org/10.1016/S0140-6736(14)61837-7 http://dx.doi.org/10.1016/S0140-6736(14)...	• Use of clinical protocols focusing on physical damage²⁶26 Lima HS, Silva ATMC, Souza JA, Almeida LR, Lucena RP, Lucena KDT. Análise das práticas profissionais na atenção em saúde às mulheres em situação de violência sexual. Rev Enferm UFPE On Line [Internet]. 2013; [cited 2017 Sep 27]; 7(12):6964-72. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/12365 https://periodicos.ufpe.br/revistas/revi...
	• Quality to care actions and management³⁸38 Vieira LJES, Silva ACF, Moreira GAR, Cavalcanti LF, Silva RM. Protocolos na atenção à saúde de mulheres em situação de violência sexual sob a ótica de profissionais de saúde. Ciênc Saúde Coletiva [Internet]. 2016 Dec; [cited 2017 Sep 27]; 21(12):3957-65. Available from: http://dx.doi.org/10.1590/1413-812320152112.15362015 http://dx.doi.org/10.1590/1413-812320152...	• Construction of assertive conducts²⁸28 Lettiere A, Nakano AMS. Rede de atenção à mulher em situação de violência: os desafios da transversalidade do cuidado. Rev Eletr Enferm [Internet]. 2015 Oct/Dec; [cited 2017 Sep 27]; 17(4):1-8. Available from: http://dx.doi.org/10.5216/ree.v17i4.32977 http://dx.doi.org/10.5216/ree.v17i4.3297...	• Protocol is not understood and adopted³⁸38 Vieira LJES, Silva ACF, Moreira GAR, Cavalcanti LF, Silva RM. Protocolos na atenção à saúde de mulheres em situação de violência sexual sob a ótica de profissionais de saúde. Ciênc Saúde Coletiva [Internet]. 2016 Dec; [cited 2017 Sep 27]; 21(12):3957-65. Available from: http://dx.doi.org/10.1590/1413-812320152112.15362015 http://dx.doi.org/10.1590/1413-812320152...
		• Building of shared protocols³⁸38 Vieira LJES, Silva ACF, Moreira GAR, Cavalcanti LF, Silva RM. Protocolos na atenção à saúde de mulheres em situação de violência sexual sob a ótica de profissionais de saúde. Ciênc Saúde Coletiva [Internet]. 2016 Dec; [cited 2017 Sep 27]; 21(12):3957-65. Available from: http://dx.doi.org/10.1590/1413-812320152112.15362015 http://dx.doi.org/10.1590/1413-812320152...
Comprehensiveness	• Care and listening skills²¹21 Cortes LF, Padoin SMM, Vieira LB, Landerdahl MC, Arboit J. Care for women victims of violence: empowering nurses in the pursuit of gender equity. Rev Gaúcha Enferm [Internet]. 2015; [cited 2017 Sep 27]; 36(no.esp):77-84. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472015000500077&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198...	• Specialized care for women's needs, without trial¹⁷17 Netto LA, Moura MAV, Araújo CLF, Souza MHN, Silva GF. Social support networks for women in situations of violence by an intimate partner. Texto Contexto Enferm [Internet]. 2017 Jul; [cited 2017 Sep 27]; 26(2):e07120015. Available from: http://dx.doi.org/10.1590/0104-07072017007120015 http://dx.doi.org/10.1590/0104-070720170... ,²¹21 Cortes LF, Padoin SMM, Vieira LB, Landerdahl MC, Arboit J. Care for women victims of violence: empowering nurses in the pursuit of gender equity. Rev Gaúcha Enferm [Internet]. 2015; [cited 2017 Sep 27]; 36(no.esp):77-84. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472015000500077&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198... ,²²22 Cortes LF, Padoin SMM. Intentionality of the action of caring for women in situations of violence: contributions to Nursing and Health. Esc Anna Nery [Internet]. 2016 Aug; [cited 2017 Sep 27]; 20(4):e20160083. Available from: http://www.scielo.br/scielo.php?pid=S1414-81452016000400202&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S141... ,²⁴24 García-Moreno C, Hegarty K, d'Oliveira AF, Koziol-McLain J, Colombini M, Feder G. The health-systems response to violence against women. Lancet [Internet]. 2015 Apr; [cited 2017 Sep 27]; 385(9977):1567-79. Available from: http://dx.doi.org/10.1016/S0140-6736(14)61837-7 http://dx.doi.org/10.1016/S0140-6736(14)... ,³⁵35 Jakubec SL, Carter-Snell CJ, Ofrim J, Skanderup J. Identificación de las fortalezas, preocupaciones y necesidades educativas del Servicio Rural de Agresión sexual en las comunidades rurales y aborígenes de Alberta (Canadá). Enferm Glob [Internet]. 2013 Jul; [cited 2017 Sep 27]; 12(3):409-42. Available from: http://dx.doi.org/10.6018/eglobal.12.3.174751 http://dx.doi.org/10.6018/eglobal.12.3.1... ,⁴⁰40 Andalaft Neto J, Faúndes A, Osis MJD, Pádua KS. Perfil do atendimento à violência sexual no Brasil. FEMINA [Internet]. 2012; [cited 2017 Sep 27]; 40(6):301-6. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/premio2013/trabalho_publicado/Maria%20Jose%20Martins%20Duarte%20Osis.pdf http://bvsms.saude.gov.br/bvs/publicacoe... ,⁴¹41 Shahali S, Mohammadi E, Lamyian M, Kashanian M, Eslami M, Montazeri A. Barriers to Healthcare Provision for Victims of Sexual Assault: A Grounded Theory Study. Iran Red Crescent Med J [Internet]. 2016 Mar; [cited 2017 Sep 27]; 18(3):e21938. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4879759/ https://www.ncbi.nlm.nih.gov/pmc/article...	• Fragmented care based on the biomedical model ²¹21 Cortes LF, Padoin SMM, Vieira LB, Landerdahl MC, Arboit J. Care for women victims of violence: empowering nurses in the pursuit of gender equity. Rev Gaúcha Enferm [Internet]. 2015; [cited 2017 Sep 27]; 36(no.esp):77-84. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472015000500077&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198... ,²²22 Cortes LF, Padoin SMM. Intentionality of the action of caring for women in situations of violence: contributions to Nursing and Health. Esc Anna Nery [Internet]. 2016 Aug; [cited 2017 Sep 27]; 20(4):e20160083. Available from: http://www.scielo.br/scielo.php?pid=S1414-81452016000400202&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S141... ,²⁶26 Lima HS, Silva ATMC, Souza JA, Almeida LR, Lucena RP, Lucena KDT. Análise das práticas profissionais na atenção em saúde às mulheres em situação de violência sexual. Rev Enferm UFPE On Line [Internet]. 2013; [cited 2017 Sep 27]; 7(12):6964-72. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/12365 https://periodicos.ufpe.br/revistas/revi... ,²⁸28 Lettiere A, Nakano AMS. Rede de atenção à mulher em situação de violência: os desafios da transversalidade do cuidado. Rev Eletr Enferm [Internet]. 2015 Oct/Dec; [cited 2017 Sep 27]; 17(4):1-8. Available from: http://dx.doi.org/10.5216/ree.v17i4.32977 http://dx.doi.org/10.5216/ree.v17i4.3297...
		• Revival of the Brazilian feminist movement in the right to comprehensive care²⁷27 Lima CA, Deslandes SF. Sexual violence against women in Brazil: achievements and challenges of the health sector in the 2000s. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):787-800. Available from: http://dx.doi.org/10.1590/S0104-12902014000300005 http://dx.doi.org/10.1590/S0104-12902014...	• Practice not consistent with the principles of humanization²⁶26 Lima HS, Silva ATMC, Souza JA, Almeida LR, Lucena RP, Lucena KDT. Análise das práticas profissionais na atenção em saúde às mulheres em situação de violência sexual. Rev Enferm UFPE On Line [Internet]. 2013; [cited 2017 Sep 27]; 7(12):6964-72. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/12365 https://periodicos.ufpe.br/revistas/revi...
	• Initial embracement, guidelines, referrals and notification²³23 Arboit J, Padoin SMM, Vieira LB, Paula CC, Costa MC, Cortes LF. Health care for women in situations of violence: discoordination of network professionals. Rev Esc Enferm USP [Internet]. 2017; [cited 2017 Sep 27]; 51:e03207. Available from: http://www.scielo.br/pdf/reeusp/v51/1980-220X-reeusp-51-e03207.pdf http://www.scielo.br/pdf/reeusp/v51/1980...	• Embracement implementation²¹21 Cortes LF, Padoin SMM, Vieira LB, Landerdahl MC, Arboit J. Care for women victims of violence: empowering nurses in the pursuit of gender equity. Rev Gaúcha Enferm [Internet]. 2015; [cited 2017 Sep 27]; 36(no.esp):77-84. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472015000500077&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198...	• Professional unpreparedness to recognize violence, embrace and refer women¹⁹19 Menezes PRM, Lima IS, Correia CM, Souza SS, Erdmann AL, Gomes NP. Process of dealing with violence against women: intersectoral coordination and full attention. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):778-86. Available from: http://dx.doi.org/10.1590/S0104-12902014000300004 http://dx.doi.org/10.1590/S0104-12902014... ,²⁰20 Silva EB, Padoin SMM, Vianna LAC. Women in situations of violence: limits of assistance. Ciênc Saúde Coletiva [Internet]. 2015; [cited 2017 Sep 27]; 20(1):249-58. Available from: http://www.scielo.br/pdf/csc/v20n1/pt_1413-8123-csc-20-01-00249.pdf http://www.scielo.br/pdf/csc/v20n1/pt_14...
		• Interdisciplinary and intersectoral discussions and approaches to improve practice²⁸28 Lettiere A, Nakano AMS. Rede de atenção à mulher em situação de violência: os desafios da transversalidade do cuidado. Rev Eletr Enferm [Internet]. 2015 Oct/Dec; [cited 2017 Sep 27]; 17(4):1-8. Available from: http://dx.doi.org/10.5216/ree.v17i4.32977 http://dx.doi.org/10.5216/ree.v17i4.3297... ^,³³33 Baptista RS, Chaves OBBM, França ISX, Sousa FS, Oliveira MG, Leite CCS. Sexual violence against women: nurses' practice. Rev Rene [Internet]. 2015 Mar/Apr; [cited 2017 Sep 27]; 16(2):210-7. Available from: http://repositorio.ufc.br/bitstream/riufc/12654/1/2015_art_rsbaptista.pdf http://repositorio.ufc.br/bitstream/riuf...	• Maintaining the invisibility of violence²⁰20 Silva EB, Padoin SMM, Vianna LAC. Women in situations of violence: limits of assistance. Ciênc Saúde Coletiva [Internet]. 2015; [cited 2017 Sep 27]; 20(1):249-58. Available from: http://www.scielo.br/pdf/csc/v20n1/pt_1413-8123-csc-20-01-00249.pdf http://www.scielo.br/pdf/csc/v20n1/pt_14...
	• Coping with physical, subjective, sexual and affective impacts on lives of raped women³³33 Baptista RS, Chaves OBBM, França ISX, Sousa FS, Oliveira MG, Leite CCS. Sexual violence against women: nurses' practice. Rev Rene [Internet]. 2015 Mar/Apr; [cited 2017 Sep 27]; 16(2):210-7. Available from: http://repositorio.ufc.br/bitstream/riufc/12654/1/2015_art_rsbaptista.pdf http://repositorio.ufc.br/bitstream/riuf...	• Development of resolutive care: listening, embracement, communication, considering the subjectivity of the other²²22 Cortes LF, Padoin SMM. Intentionality of the action of caring for women in situations of violence: contributions to Nursing and Health. Esc Anna Nery [Internet]. 2016 Aug; [cited 2017 Sep 27]; 20(4):e20160083. Available from: http://www.scielo.br/scielo.php?pid=S1414-81452016000400202&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S141... ^,²³23 Arboit J, Padoin SMM, Vieira LB, Paula CC, Costa MC, Cortes LF. Health care for women in situations of violence: discoordination of network professionals. Rev Esc Enferm USP [Internet]. 2017; [cited 2017 Sep 27]; 51:e03207. Available from: http://www.scielo.br/pdf/reeusp/v51/1980-220X-reeusp-51-e03207.pdf http://www.scielo.br/pdf/reeusp/v51/1980...	• Inadequate attitudes of professionals focusing on the blame of women²⁹29 Smith JR, Ho LS, Langston A, Mankani N, Shivshanker A, Perera D. Clinical care for sexual assault survivors multimedia training: a mixed-methods study of effect on healthcare providers' attitudes, knowledge, confidence, and practice in humanitarian settings. Confl Health [Internet]. 2013 Jul; [cited 2017 Sep 27]; 7:14. Available from: http://dx.doi.org/10.1186/1752-1505-7-14 http://dx.doi.org/10.1186/1752-1505-7-14... ^,⁴¹41 Shahali S, Mohammadi E, Lamyian M, Kashanian M, Eslami M, Montazeri A. Barriers to Healthcare Provision for Victims of Sexual Assault: A Grounded Theory Study. Iran Red Crescent Med J [Internet]. 2016 Mar; [cited 2017 Sep 27]; 18(3):e21938. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4879759/ https://www.ncbi.nlm.nih.gov/pmc/article... ^,⁴²42 McMillan L, White D. "Silly Girls" and "Nice Young Lads": Vilification and Vindication in the Perceptions of Medico-Legal Practitioners in Rape Cases. Fem Criminol [Internet]. 2015 Mar; [cited 2017 Sep 27]; 10(3):279-98. Available from: http://journals.sagepub.com/doi/pdf/10.1177/1557085115578163 http://journals.sagepub.com/doi/pdf/10.1...
		• Protocol building³⁸38 Vieira LJES, Silva ACF, Moreira GAR, Cavalcanti LF, Silva RM. Protocolos na atenção à saúde de mulheres em situação de violência sexual sob a ótica de profissionais de saúde. Ciênc Saúde Coletiva [Internet]. 2016 Dec; [cited 2017 Sep 27]; 21(12):3957-65. Available from: http://dx.doi.org/10.1590/1413-812320152112.15362015 http://dx.doi.org/10.1590/1413-812320152...
Teamwork	• Service qualification,²³23 Arboit J, Padoin SMM, Vieira LB, Paula CC, Costa MC, Cortes LF. Health care for women in situations of violence: discoordination of network professionals. Rev Esc Enferm USP [Internet]. 2017; [cited 2017 Sep 27]; 51:e03207. Available from: http://www.scielo.br/pdf/reeusp/v51/1980-220X-reeusp-51-e03207.pdf http://www.scielo.br/pdf/reeusp/v51/1980... ,²⁵25 Costa MC, Silva EB, Soares JSF, Borth LC, Honnef F. Rural women and violence situation: access and accessibility limits to the healthcare network. Rev Gaúcha Enferm [Internet]. 2017 Jul; [cited 2017 Sep 27]; 38(2):e59553. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472017000200416&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198... ,⁴³43 Zijlstra E, Lo Fo Wong S, Teerling A, Hutschemaekers G, Lagro-Janssen A. Challenges in interprofessional collaboration: experiences of care providers and policymakers in a newly set-up Dutch assault centre. Scand J Caring Sci [Internet]. 2018 Mar; [cited 2017 Sep 27]; 32(1):138-46. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28771842 https://www.ncbi.nlm.nih.gov/pubmed/2877...	• Creation of interdisciplinary spaces in health education¹⁵15 Cortes LF, Padoin SMM, Kinalski DDF. Instruments for articulating the network of attention to women in situation of violence: collective construction. Rev Gaúcha Enferm [Internet]. 2016 Jun; [cited 2017 Sep 27]; 37(no.esp):e2016-0056. Available from: http://dx.doi.org/10.1590/1983-1447.2016.esp.2016-0056 http://dx.doi.org/10.1590/1983-1447.2016...	• Work processes still centralized in the hierarchical model, with care fragmentation²⁸28 Lettiere A, Nakano AMS. Rede de atenção à mulher em situação de violência: os desafios da transversalidade do cuidado. Rev Eletr Enferm [Internet]. 2015 Oct/Dec; [cited 2017 Sep 27]; 17(4):1-8. Available from: http://dx.doi.org/10.5216/ree.v17i4.32977 http://dx.doi.org/10.5216/ree.v17i4.3297...
	• Integrated actions³⁸38 Vieira LJES, Silva ACF, Moreira GAR, Cavalcanti LF, Silva RM. Protocolos na atenção à saúde de mulheres em situação de violência sexual sob a ótica de profissionais de saúde. Ciênc Saúde Coletiva [Internet]. 2016 Dec; [cited 2017 Sep 27]; 21(12):3957-65. Available from: http://dx.doi.org/10.1590/1413-812320152112.15362015 http://dx.doi.org/10.1590/1413-812320152...	• Promotion of articulation of different disciplinary perspectives²⁵25 Costa MC, Silva EB, Soares JSF, Borth LC, Honnef F. Rural women and violence situation: access and accessibility limits to the healthcare network. Rev Gaúcha Enferm [Internet]. 2017 Jul; [cited 2017 Sep 27]; 38(2):e59553. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472017000200416&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198...
	• Interdisciplinary collaboration improves prosecution results as well as support for victims after reporting³⁹39 Annan SL. 'We desperately need some help here'--The experience of legal experts with sexual assault and evidence collection in rural communities. Rural Remote Health [Internet]. 2014; [cited 2017 Sep 27]; 14(4):2659. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25347043 https://www.ncbi.nlm.nih.gov/pubmed/2534...	• Building good relationships, defining professional roles; shared vision and focused on⁴³43 Zijlstra E, Lo Fo Wong S, Teerling A, Hutschemaekers G, Lagro-Janssen A. Challenges in interprofessional collaboration: experiences of care providers and policymakers in a newly set-up Dutch assault centre. Scand J Caring Sci [Internet]. 2018 Mar; [cited 2017 Sep 27]; 32(1):138-46. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28771842 https://www.ncbi.nlm.nih.gov/pubmed/2877...
Management support	• Protocols reflect the planning and implementation of policies, the monitoring of actions, favoring management activities, articulation of knowledge and practices of professionals, effecting intersectoral actions³⁸38 Vieira LJES, Silva ACF, Moreira GAR, Cavalcanti LF, Silva RM. Protocolos na atenção à saúde de mulheres em situação de violência sexual sob a ótica de profissionais de saúde. Ciênc Saúde Coletiva [Internet]. 2016 Dec; [cited 2017 Sep 27]; 21(12):3957-65. Available from: http://dx.doi.org/10.1590/1413-812320152112.15362015 http://dx.doi.org/10.1590/1413-812320152...	• Financing policies to address violence and resources to ensure sustainability²⁰20 Silva EB, Padoin SMM, Vianna LAC. Women in situations of violence: limits of assistance. Ciênc Saúde Coletiva [Internet]. 2015; [cited 2017 Sep 27]; 20(1):249-58. Available from: http://www.scielo.br/pdf/csc/v20n1/pt_1413-8123-csc-20-01-00249.pdf http://www.scielo.br/pdf/csc/v20n1/pt_14... ,⁴¹41 Shahali S, Mohammadi E, Lamyian M, Kashanian M, Eslami M, Montazeri A. Barriers to Healthcare Provision for Victims of Sexual Assault: A Grounded Theory Study. Iran Red Crescent Med J [Internet]. 2016 Mar; [cited 2017 Sep 27]; 18(3):e21938. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4879759/ https://www.ncbi.nlm.nih.gov/pmc/article...	• Expansion of care networks and guarantee of access to services²⁷27 Lima CA, Deslandes SF. Sexual violence against women in Brazil: achievements and challenges of the health sector in the 2000s. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):787-800. Available from: http://dx.doi.org/10.1590/S0104-12902014000300005 http://dx.doi.org/10.1590/S0104-12902014...
		• Development, strengthening of multisectoral action plans ²⁴24 García-Moreno C, Hegarty K, d'Oliveira AF, Koziol-McLain J, Colombini M, Feder G. The health-systems response to violence against women. Lancet [Internet]. 2015 Apr; [cited 2017 Sep 27]; 385(9977):1567-79. Available from: http://dx.doi.org/10.1016/S0140-6736(14)61837-7 http://dx.doi.org/10.1016/S0140-6736(14)...
		• Attention to theme, training, didactic material and actions in the community³³33 Baptista RS, Chaves OBBM, França ISX, Sousa FS, Oliveira MG, Leite CCS. Sexual violence against women: nurses' practice. Rev Rene [Internet]. 2015 Mar/Apr; [cited 2017 Sep 27]; 16(2):210-7. Available from: http://repositorio.ufc.br/bitstream/riufc/12654/1/2015_art_rsbaptista.pdf http://repositorio.ufc.br/bitstream/riuf... ,³⁶36 Acosta DF, Gomes VLO, Oliveira DC, Gomes GC, Fonseca AD. Ethical and legal aspects in nursing care for victims of domestic violence. Texto Contexto Enferm [Internet]. 2017Aug; [cited 2017 Sep 27]; 26(3):e6770015. Available from: http://dx.doi.org/10.1590/0104-07072017006770015 http://dx.doi.org/10.1590/0104-070720170...	• Low approximation of local management to the public policies that guide care³⁸38 Vieira LJES, Silva ACF, Moreira GAR, Cavalcanti LF, Silva RM. Protocolos na atenção à saúde de mulheres em situação de violência sexual sob a ótica de profissionais de saúde. Ciênc Saúde Coletiva [Internet]. 2016 Dec; [cited 2017 Sep 27]; 21(12):3957-65. Available from: http://dx.doi.org/10.1590/1413-812320152112.15362015 http://dx.doi.org/10.1590/1413-812320152...
		• Commitment to SUS and health indicators³⁶36 Acosta DF, Gomes VLO, Oliveira DC, Gomes GC, Fonseca AD. Ethical and legal aspects in nursing care for victims of domestic violence. Texto Contexto Enferm [Internet]. 2017Aug; [cited 2017 Sep 27]; 26(3):e6770015. Available from: http://dx.doi.org/10.1590/0104-07072017006770015 http://dx.doi.org/10.1590/0104-070720170...
		• Listening to professionals, guiding policy guidelines and normative actions³⁸38 Vieira LJES, Silva ACF, Moreira GAR, Cavalcanti LF, Silva RM. Protocolos na atenção à saúde de mulheres em situação de violência sexual sob a ótica de profissionais de saúde. Ciênc Saúde Coletiva [Internet]. 2016 Dec; [cited 2017 Sep 27]; 21(12):3957-65. Available from: http://dx.doi.org/10.1590/1413-812320152112.15362015 http://dx.doi.org/10.1590/1413-812320152...
Services	• Time for survivors to decide whether to report a sexual assault on law enforcement³²32 Heffron LC, Busch-Armendariz NB, Vohra SS, Johnson RJ, Camp V. Original research: Giving sexual assault survivors time to decide: an exploration of the use and effects of the nonreport option. Am J Nurs [Internet]. 2014 Mar; [cited 2017 Sep 27]; 114(3):26-35. Available from: https://doi.org/10.1097/01.NAJ.0000444489.49091.10 https://doi.org/10.1097/01.NAJ.000044448...	• Assessment of access, acceptability and quality of care, collecting information in a safe and confidential way, to receive priority in health policies, budgets and training of health professionals²⁴24 García-Moreno C, Hegarty K, d'Oliveira AF, Koziol-McLain J, Colombini M, Feder G. The health-systems response to violence against women. Lancet [Internet]. 2015 Apr; [cited 2017 Sep 27]; 385(9977):1567-79. Available from: http://dx.doi.org/10.1016/S0140-6736(14)61837-7 http://dx.doi.org/10.1016/S0140-6736(14)...	• Unawareness of referral services¹⁹19 Menezes PRM, Lima IS, Correia CM, Souza SS, Erdmann AL, Gomes NP. Process of dealing with violence against women: intersectoral coordination and full attention. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):778-86. Available from: http://dx.doi.org/10.1590/S0104-12902014000300004 http://dx.doi.org/10.1590/S0104-12902014...
	• Confidentiality, orientation and privacy in nursing care³⁶36 Acosta DF, Gomes VLO, Oliveira DC, Gomes GC, Fonseca AD. Ethical and legal aspects in nursing care for victims of domestic violence. Texto Contexto Enferm [Internet]. 2017Aug; [cited 2017 Sep 27]; 26(3):e6770015. Available from: http://dx.doi.org/10.1590/0104-07072017006770015 http://dx.doi.org/10.1590/0104-070720170...		• Inefficiency of police, justice and security²⁰20 Silva EB, Padoin SMM, Vianna LAC. Women in situations of violence: limits of assistance. Ciênc Saúde Coletiva [Internet]. 2015; [cited 2017 Sep 27]; 20(1):249-58. Available from: http://www.scielo.br/pdf/csc/v20n1/pt_1413-8123-csc-20-01-00249.pdf http://www.scielo.br/pdf/csc/v20n1/pt_14...
			• Hospitals have no facilities to provide and maintain adequate evidence storage³²32 Heffron LC, Busch-Armendariz NB, Vohra SS, Johnson RJ, Camp V. Original research: Giving sexual assault survivors time to decide: an exploration of the use and effects of the nonreport option. Am J Nurs [Internet]. 2014 Mar; [cited 2017 Sep 27]; 114(3):26-35. Available from: https://doi.org/10.1097/01.NAJ.0000444489.49091.10 https://doi.org/10.1097/01.NAJ.000044448...
	• Increase in sentencing cases after implementation of SANE program⁴⁴44 Campbell R, Patterson D, Bybee D. Prosecution of Adult Sexual Assault Cases: A Longitudinal Analysis of the Impact of a Sexual Assault Nurse Examiner Program. Violence Against Women [Internet]. 2012 Feb; [cited 2017 Sep 27]; 18(2):223-44. Available from: http://dx.doi.org/10.1177/1077801212440158 http://dx.doi.org/10.1177/10778012124401...	• Expansion of actions to prevent and recognize sexual violence as a social problem²⁷27 Lima CA, Deslandes SF. Sexual violence against women in Brazil: achievements and challenges of the health sector in the 2000s. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):787-800. Available from: http://dx.doi.org/10.1590/S0104-12902014000300005 http://dx.doi.org/10.1590/S0104-12902014...	• Discrepancy in the number of cases registered by legal and health institutions³⁴34 Reyes HLM, Billings DL, Paredes-Gaitan Y, Zuniga KP. An assessment of health sector guidelines and services for treatment of sexual violence in El Salvador, Guatemala, Honduras and Nicaragua. Reprod Health Matters [Internet]. 2012 Dec; [cited 2017 Sep 27]; 20(40):83-93. Available from: http://dx.doi.org/10.1016/S0968-8080(12)40656-5 http://dx.doi.org/10.1016/S0968-8080(12)...
			• Inadequate collection of evidence; lack of forensic nurses and inexperience of some SANEs with forensic examination³⁹39 Annan SL. 'We desperately need some help here'--The experience of legal experts with sexual assault and evidence collection in rural communities. Rural Remote Health [Internet]. 2014; [cited 2017 Sep 27]; 14(4):2659. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25347043 https://www.ncbi.nlm.nih.gov/pubmed/2534...
	• SANE: positive impact on the progression of cases of sexual assault in the justice system⁴⁵45 Campbell R, Bybee D, Townsend SM, Shaw J, Karim N, Markowitz J. The Impact of Sexual Assault Nurse Examiner Programs on Criminal Justice Case Outcomes: A Multisite Replication Study. Violence Against Women [Internet]. 2014 May; [cited 2017 Sep 27]; 20(5):607-25. Available from: http://dx.doi.org/10.1177/1077801214536286 http://dx.doi.org/10.1177/10778012145362...		• Dissatisfaction of victims with legal and medical services due to social and legal obstacles⁴¹41 Shahali S, Mohammadi E, Lamyian M, Kashanian M, Eslami M, Montazeri A. Barriers to Healthcare Provision for Victims of Sexual Assault: A Grounded Theory Study. Iran Red Crescent Med J [Internet]. 2016 Mar; [cited 2017 Sep 27]; 18(3):e21938. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4879759/ https://www.ncbi.nlm.nih.gov/pmc/article...
	• Good embracement in health spaces⁴⁶46 Barros LA, Albuquerque MCS, Gomes NP, Riscado JLS, Araújo BRO, Magalhães JRF. The (un)receptive experiences of female rape victims who seek healthcare services. Rev Esc Enferm USP [Internet]. 2015 Mar/Apr; [cited 2017 Sep 27]; 49(2):193-200. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342015000200193 http://www.scielo.br/scielo.php?script=s...	• Standardization of storage and collection of toxicological evidence, access to marginalized populations³²32 Heffron LC, Busch-Armendariz NB, Vohra SS, Johnson RJ, Camp V. Original research: Giving sexual assault survivors time to decide: an exploration of the use and effects of the nonreport option. Am J Nurs [Internet]. 2014 Mar; [cited 2017 Sep 27]; 114(3):26-35. Available from: https://doi.org/10.1097/01.NAJ.0000444489.49091.10 https://doi.org/10.1097/01.NAJ.000044448...	• Inadequate physical infrastructure and human resources to approach⁴⁶46 Barros LA, Albuquerque MCS, Gomes NP, Riscado JLS, Araújo BRO, Magalhães JRF. The (un)receptive experiences of female rape victims who seek healthcare services. Rev Esc Enferm USP [Internet]. 2015 Mar/Apr; [cited 2017 Sep 27]; 49(2):193-200. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342015000200193 http://www.scielo.br/scielo.php?script=s...
Access to services	• Public policies for access to antiretroviral agents, patient monitoring and testing²⁷27 Lima CA, Deslandes SF. Sexual violence against women in Brazil: achievements and challenges of the health sector in the 2000s. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):787-800. Available from: http://dx.doi.org/10.1590/S0104-12902014000300005 http://dx.doi.org/10.1590/S0104-12902014...	• Great service dissemination¹⁹19 Menezes PRM, Lima IS, Correia CM, Souza SS, Erdmann AL, Gomes NP. Process of dealing with violence against women: intersectoral coordination and full attention. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):778-86. Available from: http://dx.doi.org/10.1590/S0104-12902014000300004 http://dx.doi.org/10.1590/S0104-12902014...	• Difficulty access to specialized services by distance and restricted to transportation, dependency of companion, lack of asssitance of professionals and disarticulation of the network²⁵25 Costa MC, Silva EB, Soares JSF, Borth LC, Honnef F. Rural women and violence situation: access and accessibility limits to the healthcare network. Rev Gaúcha Enferm [Internet]. 2017 Jul; [cited 2017 Sep 27]; 38(2):e59553. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472017000200416&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198... ,³⁵35 Jakubec SL, Carter-Snell CJ, Ofrim J, Skanderup J. Identificación de las fortalezas, preocupaciones y necesidades educativas del Servicio Rural de Agresión sexual en las comunidades rurales y aborígenes de Alberta (Canadá). Enferm Glob [Internet]. 2013 Jul; [cited 2017 Sep 27]; 12(3):409-42. Available from: http://dx.doi.org/10.6018/eglobal.12.3.174751 http://dx.doi.org/10.6018/eglobal.12.3.1... ,⁴⁷47 Juraska A, Wood L, Giroux J, Wood E. Sexual Assault Services Coverage on Native American Land. J Forensic Nurs [Internet]. 2014 Apr/Jun; [cited 2017 Sep 27]; 10(2):92-7. Available from: http://dx.doi.org/10.1097/JFN.0000000000000025 http://dx.doi.org/10.1097/JFN.0000000000...
		• Approximation of services and qualification for warm practice²⁵25 Costa MC, Silva EB, Soares JSF, Borth LC, Honnef F. Rural women and violence situation: access and accessibility limits to the healthcare network. Rev Gaúcha Enferm [Internet]. 2017 Jul; [cited 2017 Sep 27]; 38(2):e59553. Available from: http://www.scielo.br/scielo.php?pid=S1983-14472017000200416&script=sci_arttext&tlng=en http://www.scielo.br/scielo.php?pid=S198...
		• SARTs training in rural communities, SANE training for nurses^* * Female and male nurses. in rural communities³⁹39 Annan SL. 'We desperately need some help here'--The experience of legal experts with sexual assault and evidence collection in rural communities. Rural Remote Health [Internet]. 2014; [cited 2017 Sep 27]; 14(4):2659. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25347043 https://www.ncbi.nlm.nih.gov/pubmed/2534...	• Decentralization of health and medical-legal care³⁴34 Reyes HLM, Billings DL, Paredes-Gaitan Y, Zuniga KP. An assessment of health sector guidelines and services for treatment of sexual violence in El Salvador, Guatemala, Honduras and Nicaragua. Reprod Health Matters [Internet]. 2012 Dec; [cited 2017 Sep 27]; 20(40):83-93. Available from: http://dx.doi.org/10.1016/S0968-8080(12)40656-5 http://dx.doi.org/10.1016/S0968-8080(12)...
		• SAE and SART services expansion⁴⁷47 Juraska A, Wood L, Giroux J, Wood E. Sexual Assault Services Coverage on Native American Land. J Forensic Nurs [Internet]. 2014 Apr/Jun; [cited 2017 Sep 27]; 10(2):92-7. Available from: http://dx.doi.org/10.1097/JFN.0000000000000025 http://dx.doi.org/10.1097/JFN.0000000000...	• Victims travel long distances to collect evidence for SANEs and health care⁹9 Mafioletti TM, Peres AM, Larocca LM, Fontoura MP. Violence against women: historical trajectory of a care program (Curitiba - 1997-2014). Rev Bras Enferm [Internet]. 2018 Nov/Dec; [cited 2019 Apr 9]; 71(6):2907-15. Available from: http://dx.doi.org/10.1590/0034-7167-2017-0583 http://dx.doi.org/10.1590/0034-7167-2017...

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[1] Corresponding author: Daiane Trentin. E-mail: daitrentin@yahoo.com.br